Berry, Amanda Lauren

Berry, Amanda Lauren is an sole proprietor health care provider with primary practice located at 1967 N Dayton St , Chicago IL 60614-5030. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Berry, Amanda Lauren can be contacted via phone (312) 714-5168.

Contact Information

Primary practice address
1967 N Dayton St Chicago IL 60614-5030
Phone: (312) 714-5168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.001099 Illinois

Profile Details

NPI number 1205379484
LBN Legal business name Berry, Amanda Lauren
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2016
Last updated May 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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